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One could be forgiven for expecting that a nation that cracked the Enigma code, and, more recently, assigned all of its citizens a unique health service number, would possess an enviable health information system that made the planning, delivery and evaluation of medical services a seamless and simultaneously sophisticated exercise. But the United Kingdom is a nation where trains are regularly stopped by snow, leaves and even clouds — the latter apparently because clouds interfere with the onboard geographical positioning systems “talking” to geostationary satellites.

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